Nov 2 2020 | Press Release | By

Lumeris Announces Essence Healthcare Receives CMS Quality Rating of 4.5 Stars

Essence Healthcare, a leader in physician-led, patient-centered outcomes, has averaged 4.5 Stars from CMS for the last 11 years

Essence Healthcare named by U.S. News & World Report the “Best Medicare Advantage Plan for 2021” in Missouri and Illinois

St. Louis, MO — Nov 2, 2020 — Lumeris, the trusted partner for next-generation health systems, today announced that its longstanding flagship Medicare Advantage plan, Essence Healthcare, earned a Star Rating of 4.5 from the Centers for Medicare and Medicaid Services’ (CMS) 2021 Medicare Advantage Health Plan Star Ratings. With over a decade of experience in delivering improved financial, clinical and operational outcomes, Lumeris and Essence Healthcare have again demonstrated their commitment to delivering high quality, affordable healthcare with exceptional patient and physician experiences.

Essence Healthcare, enabled by Lumeris, has a consistent track record and reputation for working closely with its provider network partners to improve health outcomes, based on an innovative care delivery model that promotes accountable primary care. Over the years, Lumeris has proven that a comprehensive operating model, enabled by the right analytics and technology workflows, is essential to driving sustained performance and health outcomes. True collaboration and alignment with providers to deliver high value, high quality care is critical for enhancing the member and physician experience. As Lumeris continues to innovate and demonstrate results from Essence Healthcare and leading health systems across the country, it will continue to advance the essential clinical, technological and financial transformation needed in healthcare today.

“We are thrilled with our ongoing achievement and recognition from CMS. Our commitment to serving our members with high quality service, affordable care and improved health outcomes is our priority. We continually aim to improve our benefits to meet the needs of our members, especially during these unprecedented times,” said Richard Jones, CEO of Essence Healthcare.

Based in St. Louis, Essence Healthcare has grown to become a leading Medicare Advantage plan in the market, serving more than 64,000 Medicare beneficiaries in Missouri and Illinois. U.S. News & World Report recently recognized Essence Healthcare as the best Medicare Advantage plan in Missouri and Illinois. Lumeris provides the advanced analytics, technology and operational capabilities that help Essence Healthcare engage with its physicians in innovative ways to proactively coordinate patient care. With decades of expertise in managing population health, Lumeris and Essence Healthcare continue to deliver industry-leading outcomes while investing in better care for members.

“Our demonstrated excellence in clinical outcomes directly impacts patient outcomes and the physician experience. We will continue to scale our industry-leading model of care delivery, so that leading health systems across the country can benefit from our years of success,” said Dr. Debbie Zimmerman, Chief Medical Officer of Essence Healthcare and Lumeris.

CMS evaluates Medicare Advantage plans through the Star Ratings system, providing meaningful information to Medicare beneficiaries and caregivers. The system supports CMS’ continued commitment to putting patients first to make informed decisions about their healthcare. Every year, Medicare evaluates plans based on a 5-star rating system.


Lumeris enables a new model for healthcare. As the trusted partner for next-generation health systems, Lumeris helps providers deliver extraordinary clinical and financial outcomes. With partners across the country, we align providers and payers with a proven model that coordinates operational processes, resources and technology to achieve high-quality, cost-effective care with satisfied consumers and engaged physicians.

Lumeris contact

Marcus Gordon

Mobile: 678-358-4807

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